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Biomedical subjects

G Segmüller

Publications and source records attributed to G Segmüller.

At least 55 records · Page 3Linked to original sources

[Diaphyseal and articular fractures of the growing skeleton of the hand].

The closed as well as the operative treatment of fractures of the skeleton of the hand during growth must take into consideration the growth potential of the bones. It is particularly important in its potential to correct shortening as well as axial deviation and angulation (except rotational deformity). There are, however, limits to this potential as shown in epiphyseal fractures. Modern internal fixation has, therefore, an important -- though very restricted -- place in the treatment of these epiphyseal fractures. Other rare indications are mentioned.

Adolescent↗

[The carpal tunnel syndrome. Indication, technic and results following epineural and interfascicular neurolysis].

In the advanced stage of the carpal tunnel syndrome with apparently "irreversible" loss of motor function and sensibility, epineural and interfascicular neurolysis has been recommended as an idjunct to the conventional decompression of the median nerve. Nevertheless the literature is lacking in data concerning recovery of motor function after operation. In addition to clinical examination, histological and electromyographic data are proveded to demonstrate the histo-pathological changes and the late results after neurolysis. Indications for the technique of this more radical operative procedure as well as late results are described.

Adult↗

[Stable osteosynthesis in reconstructive surgery of the hand].

Stable fixation of the skeleton of the hand hat its merits especially in reconstructive procedures, such as osteotomy for malunited fractures, bone grafting procedures for loss of bone substance, fusion of any of the numerous joints in the hand and finally for finger as well as metacarpal transfer. Stable fixation is useful also in combined procedures on bone, tendons and skin. The aim of stabilization is immediate restauration as a lever arm in the motor system of the extremity. This may be achieved using adequate metalimplants based on biomechanically sound principles as outlined above.

Arthritis↗

[The transmetacarpal oblique amputation of the index finger].

The main principles underlying amputation of the index finger are discussed. In two follow-up groups of patients the results have been compared of longest-possible finger stump versus transmetacarpal amputation of the second ray. Measurements were made of rough power (Vigorimeter) and pinch-grip power (Intrinsicmeter, Mannerfelt). Both measurements revealed higher power in the group with transmetacarpal amputation. Rehabilitation was likewise more rapid and favourable. For pinch grip the resected index finger is replaced by the midfinger without difficulty. Rough power is not impaired by narrowing of the hand. Transmetacarpal amputation of the second ray is thus a procedure to be advocated. The "small amputation of the index finger" now in more common use often provides merely a useless stump.

Amputation, Surgical↗